They also highlighted what they saw as key opportunities to drive change and improvements to the New Brunswick health system: the province’s (and health system’s) small size as a source of nimbleness; citizen and stakeholder commitment to change; and increased focus on and investment in health promotion and illness prevention to reduce the burden on the health system. [...] Finally, participants stressed the importance of supporting the role of communities and local decision-making in health and of paying attention to the needs of the most vulnerable and disenfranchised citizens (e.g., the poor, the homeless). [...] Making community health centres (CHCs) and clinics the centrepiece of primary care emerged as a clear primary care priority, reflecting participants’ strong belief in the benefits of this model, including more equitable access to care, more flexibility in the range and mode of delivery of services, efficiency gains and cost savings, more individualized and personalized care, and closer ties to the [...] This involves an obligation to provide regular and accurate updates on the province’s state of health and on the health care system’s performance and to formulate recommendations to the Minister of Health. [...] Mandate of the New Brunswick Health Council New Brunswickers have the right to be aware of the decisions being made, to be part of the decision-making process and to be aware of the outcomes delivered by the health system and its cost.